Portal systemic shunt between the hepatic portal vein and right renal vein in a patient with multifocal hepatocellular carcinoma: Case report |
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Authors: | Mateja Sabol Pušić MD Ivan Budimir MD PhD Zdravko Dorosulić MD PhD Branko Ostrički MD Marko Nikolić MD PhD Gordana Lovrenčić Prpić MD PhD Katherina B. Sreter MD |
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Affiliation: | 1. Department of Cardiology with Coronary Care Unit, County Hospital ?akovec, I. G. Kova?i?a 1e, Croatia;2. Division of Gastroenterology, Department of Internal Medicine, “Sestre milosrdnice” University Hospital Center, Medical and Dental Faculty, University of Zagreb, Vinogradska 29, Croatia;3. Division of Radiology, “Sestre milosrdnice” University Hospital Center, Medical and Dental Faculty, University of Zagreb, Vinogradska 29, Croatia;4. Division of Clinical Immunology, Pulmonology, and Rheumatology, Department of Internal Medicine, “Sestre milosrdnice” University Hospital Center, Medical and Dental Faculty, University of Zagreb, Vinogradska 29, Croatia |
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Abstract: | Portal hypertension is a clinical syndrome characterized by the development of collateral circulation and portosystemic shunts, as well as ascites and hepatic encephalopathy. We present the case of a large portosystemic shunt between the hepatic portal vein and aneurysmal right renal vein in a cirrhotic 64‐year‐old man with thrombosis of the portal vein and hepatocellular carcinoma. This is a very rare clinical manifestation which, to our knowledge, has been described only once previously in the literature. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 45 :524–527, 2017 |
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Keywords: | portal hypertension hepatocellular carcinoma hepatic encephalopathy cirrhosis |
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